Active NPI
Stuffon Charles Lewis
- Addiction (Substance Use Disorder) Counselor
- Asheboro, NC
National Provider Identifier
1609307065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 23377
- Practice address
- 110 W Walker Ave
Asheboro, NC 27203-6760 - Phone
- (336) 633-7000
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23377 | NC | Primary |
Addresses
Primary practice location
110 W Walker Ave
Asheboro, NC 27203-6760
Mailing address
1002 Waccamaw Way
Greensboro, NC 27410-4090
Phone (336) 419-5249
Other practice location 1
108 N Franklin St
Suite, B
Madison, NC 27025
Phone (336) 295-7973
Other practice location 2
1617 S Hawthorne Rd
Winston Salem, NC 27103-4127
Phone (336) 419-5249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23377 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1609307065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 WACCAMAW WAY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104090",
"telephone_number": "336-419-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W WALKER AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036760",
"telephone_number": "336-633-7000"
}
],
"practiceLocations": [
{
"address_1": "108 N Franklin St",
"address_2": "Suite, B",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "NC",
"postal_code": "27025",
"country_code": "US",
"telephone_number": "336-295-7973",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1617 S Hawthorne Rd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271034127",
"country_code": "US",
"telephone_number": "336-419-5249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "STUFFON",
"middle_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2021-12-06",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "23377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.